Evidence map›Paper›PMID 29970019›Full record

ArticleBMC pregnancy and childbirth2018

Cerclage is associated with the increased risk of preterm birth in women who had cervical conization.

Geum Joon Cho, Yung-Taek Ouh, Log Young Kim, Tae-Seon Lee, Geun U Park, Ki Hoon Ahn, Soon-Cheol Hong, Min-Jeong Oh, Hai-Joong Kim

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Geum Joon ChoDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Republic of Korea.
Yung-Taek OuhDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Republic of Korea.
Log Young KimThe Health Insurance Review and Assessment Service of Korea, Seoul, South Korea.
Tae-Seon LeeThe Health Insurance Review and Assessment Service of Korea, Seoul, South Korea.
Geun U ParkDepartment of applied statistics, Chung-Ang University, Seoul, South Korea.
Ki Hoon AhnDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Republic of Korea.
Soon-Cheol HongDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Republic of Korea.
Min-Jeong OhDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Republic of Korea.
Hai-Joong KimDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Republic of Korea. haijkim@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to determine the effect of cerclage in women who underwent cervical conization.

methodsStudy data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009-2013. Women who had a conization in 2009 and a subsequent first delivery between 2009 and 2013 in Korea were enrolled.

resultsAmong the women who had conization in 2009, 1075 women had their first delivery between 2009 and 2013. A cerclage was placed in 161 of the women who were treated by conization. The rate of preterm birth was higher in the women who were treated with cerclage following a conization compared with those without cerclage (10.56 vs 4.27, p < 0.01, respectively). The multivariate regression analysis revealed that the women who were treated cerclage following a conization had an increased risk of preterm delivery compared with women without cerclage (odds ratio (OR), 2.6, 95% confidence interval (CI), 1.4-4.9).

conclusionOur study showed that cerclage associated with an increased risk of preterm birth and preterm premature rupture of membranes in women who underwent conization. Further studies are required to clarify the mechanism by which cerclage affects the risk of preterm birth.

Indexed as

Cerclage, CervicalCervix UteriConizationObstetric Labor, PrematurePremature BirthAdultFemaleHumansPregnancyPregnancy OutcomePremature Rupture of Fetal MembranesRepublic of KoreaRetrospective StudiesRisk FactorsRisk ManagementCerclageConizationPreterm birthPreterm premature rupture of membrane

Identifiers

PMID29970019
PMCPMC6029404

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.